Efficacy of Epidural Analgesia and Intravenous Tramadol in Relieving Labour Pain: A Prospective Hospital Based Study
October - December 2017 | Vol 3 | Issue 4 | Page : 102-105
Abeezar Hussain, Sangeeta Goya1*
1 Assistant Professor, Department of Anaesthesiology, Pacific Institute
of Medical Sciences, Udaipur
How to cite this article: Hussain A, Goyal S. Efficacy of Epidural
Analgesia and Intravenous Tramadol in Relieving Labour Pain: A Prospective Hospital
Based Study. Int Arch BioMed Clin Res. 2017;3(4):102-105.
Background: Labour Pain during pregnancy is a painful experience for nearly all
women. The aim of this study is to compare the efficacy, safety and adverse effects
of epidural analgesia, tramadol in pain relief. Material and Methods: A total of
90 cases were studied. They included primi- as well as multigravidae, belonging
to ASA grade 1 and 2 between the ages of 20-40 years, 37-41 weeks of pregnancy were
selected. They were in established active stage of labor (uterine contraction 3
per 10 minutes, lasting for 30 to 40 seconds, cervical dilation more than 3 cm and
up to 5 cm and cervical effacement more than or equal to 60%) with singleton fetus
presenting by vertex and agreeable for analgesia. The selected patients were divided
into three groups of Group I (control group, n=30), labour was carried out without
using any analgesic technique, Group II (epidural Group, n=30) – Inj. bupivacaine
0.25% was given epidurally for analgesia, Group III (Tramadol Group, n=30) – Inj.
Tramadol was given intravenously for analgesia. Result: From the observations gathered
from this study, this can concluded that epidural analgesia provides much better
analgesia than non-conventional methods of analgesia during labour. Conclusion:
Tramadol have also a fair to good role in pain relief in labour, but mainly in first
stage of labour when the pain is not severe enough.
Keywords: Epidural Analgesia, Intravenous Tramadol.
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